Work

Polymicrobial necrotizing fasciitis after a primary cesarean section in a low-risk patient: A case report and literature review

Year: 2024

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Necrotizing fasciitis (NF) is a rare life-threatening soft tissue infection, with only few obstetrical cases reported in the literature. CASE PRESENTATION: We report a case of a previously healthy female who developed polymicrobial NF on day 4 post an uncomplicated primary cesarean delivery, who presented initially with fever, chills, and abdominal pain. CLINICAL DISCUSSION: The patient underwent a life-saving debridement of surgical wound with subsequent positive wound culture with polymicrobial growth and pathology suggestive of necrotizing fasciitis. Patient recovered in the intensive care unit with smooth postoperative course. CONCLUSION: Early diagnosis and presumed aggressive intervention with early surgical debridement and supportive therapy were key factors favoring the good prognosis seen in this patient.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110326

Authors: Nathalie Chamseddine, Hanan Aghar, Zeinab Haidar, Ghadir Aoud, Amir Ibrahim, Ghina Ghazeeri

Institutions: American University of Beirut Medical Center, American University of Beirut

Language: English

Topic: Streptococcal Infections and Treatments

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800